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ETHTE #: 12 -5 -29639 HARNETT COUNTY HEALTH DEPARTMENT ENVIRONMENTAL HEALTH 307 CORNELIUS HARNETT BOULEVARD LILLINGTON, NC 27546 EXISTING SEPTIC SYSTEM INSPECTION Name: Larry & Pamela Eures Phone #: 910 - 436 -0472 Address: 4134 Overhills Rd Spring Lake NC 28390 Name of Mobile Home Park or S /D: Anderson Estates lot 38 Name of Owner (if different): Address of Owner (if different): Property Location (State Road name and #): 1120 Overhills Rd Purpose of Inspection: Man Home (24'x52') The aforementioned site has been evaluated by the Harnett County Health Department Environmental Health Section. At the time of inspection, there appeared to be a septic system serving this site. If the system should malfunction, the owner is responsible for any necessary repairs. THIS INSPECTION IS VOID IF: 1. the intended use of the septic system should change, and /or 2. the system should fail or malfunction, and /or 3. the owner or tenant of the property change, and /or 4. after six months 11410110 1 . I . WAIR . U, AUTHORIZATION OF EXISTING SYSTEM Signature of Environmental H 610W